Dataset Information

Associations between biological and sociodemographic risks for developmental vulnerability in twins at age 5: a population data linkage study in Western Australia.

ABSTRACT:

Objective

To investigate the prevalence of, and associations between, prenatal and perinatal risk factors and developmental vulnerability in twins at age 5.

Design

Retrospective cohort study using bivariate and multivariable logistic regression.

Setting

Western Australia (WA), 2002-2015.

Participants

828 twin pairs born in WA with an Australian Early Development Census (AEDC) record from 2009, 2012 or 2015.

Main outcome measures

The AEDC is a national measure of child development across five domains. Children with scores <10th percentile were classified as developmentally vulnerable on, one or more domains (DV1), or two or more domains (DV2).

Results

In this population, 26.0% twins were classified as DV1 and 13.5% as DV2. In the multivariable model, risk factors for DV1 were maternal age <25 years (adjusted OR (aOR): 7.06, 95% CI: 2.29 to 21.76), child speaking a language other than English at home (aOR: 6.45, 95% CI: 2.17 to 19.17), male child (aOR: 5.08, 95% CI: 2.89 to 8.92), age younger than the reference category for the study sample (≥5 years 1 month to <5 years 10 months) at time of AEDC completion (aOR: 3.34, 95% CI: 1.55 to 7.22) and having a proportion of optimal birth weight (POBW) <15th percentile of the study sample (aOR: 2.06, 95% CI 1.07 to 3.98). Risk factors for DV2 were male child (aOR: 7.87, 95% CI: 3.45 to 17.97), maternal age <25 (aOR: 5.60, 95% CI: 1.30 to 24.10), age younger than the reference category (aOR: 5.36, 95% CI: 1.94 to 14.82), child speaking a language other than English at home (aOR: 4.65, 95% CI: 1.14 to 19.03), mother's marital status as not married at the time of twins' birth (aOR: 4.59, 95% CI: 1.13 to 18.55), maternal occupation status in the lowest quintile (aOR: 3.30, 95% CI: 1.11 to 9.81) and a POBW <15th percentile (aOR: 3.11, 95% CI: 1.26 to 7.64).

Conclusion

Both biological and sociodemographic risk factors are associated with developmental vulnerability in twins at 5 years of age.

SUBMITTER: Dhamrait GK

PROVIDER: S-EPMC7569973 | biostudies-literature | 2020 Oct

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Associations between biological and sociodemographic risks for developmental vulnerability in twins at age 5: a population data linkage study in Western Australia.

Dhamrait Gursimran Kaur GK Christensen Daniel D Pereira Gavin G Taylor Catherine Louise CL

BMJ open 20201016 10

<h4>Objective</h4>To investigate the prevalence of, and associations between, prenatal and perinatal risk factors and developmental vulnerability in twins at age 5.<h4>Design</h4>Retrospective cohort study using bivariate and multivariable logistic regression.<h4>Setting</h4>Western Australia (WA), 2002-2015.<h4>Participants</h4>828 twin pairs born in WA with an Australian Early Development Census (AEDC) record from 2009, 2012 or 2015.<h4>Main outcome measures</h4>The AEDC is a national measure ...[more]

PMID: 33067288

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Dataset Information

Associations between biological and sociodemographic risks for developmental vulnerability in twins at age 5: a population data linkage study in Western Australia.

Objective

Design

Setting

Participants

Main outcome measures

Results

Conclusion

Publications

Associations between biological and sociodemographic risks for developmental vulnerability in twins at age 5: a population data linkage study in Western Australia.

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